Registered client? Sign in
Location:Core Physical Therapy - Lincoln Park change
Service:Evaluation - Lincoln Park change
Staff: David Vlaich
Date/time:Thu, Mar 22 2018 at 9:00 AM (CDT) change

Consent to Receive Email -   By using this system I acknowledge that commonly used email services are not secure and fall outside of the security requirements set  forth by the Health Insurance Portability and Accountability Act for the transmission of protected health information.  As such,  I acknowledge this system is not meant for the transmission of protected health information and is for appointment scheduling and delivery of administrative information related to my care.  This email may be read by others in transit, or by employers if I chose to use a work email.   I may make appointments by phone by calling 773.999.9825.

Please do not submit any Protected Health Information (PHI)

Registered user? Sign in
First name*
Last name*
Email*
Phone*
Confirmations will be sent to email, including Intake/Policy paperwork for new patients.
* required field